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1245215938
LORETTA KENDRICKS
GALLUP, NM
NPI
1245215938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209004287)
Enumeration Date
2005-12-14
Last Update Date
2010-01-27
Business Address
LORETTA KENDRICKS CRNA
516 EAST NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
LORETTA KENDRICKS CRNA
P.O. BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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